Bookishness, Getting to know me

Adjusting to Cape Town

If you’ve wondered where I’ve gone, or why my last post was such a random shout from the dark… it’s because adjusting to a new life in Cape Town has been hard. Even though it is sort of the land of milk and honey (see previous post).

I started the year with a lot of plans (don’t we all) of having a gorgeously decorated apartment that was always neat and tidy, continuing to read a lot, writing more often, working on furthering my career, and having a lot of friends.

Tah-dah! #bulletjournal #level10life #colour #BuJo #2017 #goals #moleskine #stabilo

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Continue reading “Adjusting to Cape Town”

Real Medicine

Working in the Land of Milk and Honey

By some kind of dumb luck, I am doing my Community Service posting at an incredible children’s hospital in Cape Town, rather than the archetypal middle-of-nowhere clinic post we all expect for ComServe.

And it’s incredible.

#lucky to work with this view; less lucky to be #oncall Friday and Sunday. #weekend #capetown

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This hospital is just something else. It’s public, but has so much private funding that it might as well be a private hospital. It gets a lot of private patients so clearly I’m not alone in my perception.

Some things that continue to blow my mind:

1. Pain management team

Absolutely essential, of course, but not something we had access to in the Eastern Cape. As part of pain management, our kiddies have access to aromatherapy and music therapy. How cool is that?!

2. Psycho-social services

When adults bring kids to hospital and they have witnessed violent events, the adults get debriefing practically before the kid even leaves the emergency unit. When a kid gets hit by a stray bullet, he gets trauma debriefing. There are support groups for kids with any number of conditions. All of these things should be a given, should’t they? But again, it’s something I’ve never seen.

3. Palliative Care Team

Last year, I often had to decide on my own whether a patient was for active resuscitation or not. It was a horrible responsibility, but not that I’ve learned just how much is involved within the practice of palliative care, I realise how WRONG it is for a clinician to have to make such decisions without an entire palliative care team.

My entire view of palliation has changed.

4. Gorgeous Operating Theaters

There are theaters with views of Table Mountain, and I just… wow. (The on-call room also has a view of the mountain.)

5. Clinicians who love their jobs

I can’t begin to tell you how amazing it is to be surrounded by senior doctors who are still passionate about their work. It gives me hope.

 * * *

One thing that is not available in the land of milk and honey is small-size theater scrubs. I still have to use a whole host of improvisations to prevent my pants from falling down when I scrub in for theater.

Oh well.

Getting to know me, Real Medicine

Preparing for the Next Step: 2017

The year has passed into its second half, and so I am nearing the beginning of my last rotation of internship. Nearly twenty months of working now, and I’m still a baby-doctor, but I’ve grown so much in confidence and skill.

After the two-year internship comes a year of mandatory community service as a medical officer. Because of a scholarship agreement I am contracted to work in the Western Cape (not an altogether bad thing) for the CosMO year, and four more beyond that.

map-of-south-africa-according-to-capetonians
A little something-something about my future place of residence 😛

Continue reading “Preparing for the Next Step: 2017”

Current Affairs, Getting to know me

If You Plan To Spend Mandela Day At A Hospital…

Although I believe that community service should be a habit rather than an annual event, I am a big fan of Mandela Day. I’m a child of the 90s, after all, and my first hero was Nelson Mandela. There’s nothing quite like a day where the whole nation reaches out to one another to build morale. (And it’s not just for South Africans!)

Mandela day quote3

Public hospitals are a popular venue for community service, which is not entirely a bad thing because many of our patients truly fit the description of being disenfranchised.

But every year, my colleagues and I find ourselves a little annoyed by many of the people who arrive to do their bit. Here are some pointers if you intend to visit a hospital this Mandela Day – or any other day. Continue reading “If You Plan To Spend Mandela Day At A Hospital…”

Getting to know me, Real Medicine

Paediatrics: How Do I Love Thee

I noticed that four out of my last five posts here were sad posts. With good reason too: some scary things have happened.

But guys: I’ve had a fantastic two months. I’m on a four-month paediatric service and it makes me so… happy?

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Continue reading “Paediatrics: How Do I Love Thee”